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Jeffrey Mills

NPI 1609247048ActiveIndividual· Psychologist· Coon Rapids, MN

Psychologist in Coon Rapids, Minnesota, licensed in MN, with an NPI issued in October 2015. Enrolled in Medicare as practitioner - clinical psychologist.

Overview

NPI1609247048
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedOct 12, 2015
Last updated in NPPESJul 26, 2021
Certified by providerJul 26, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000XLP5924MN
Psychologist, Clinical103TC0700X5924MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Psychologist (MN)

Medicare sources and data years

Other Psychologist providers in Coon Rapids

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